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General NPI Number Information
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NPI Number | 1700179314
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Entity Type | Organization
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Legal Business Name | GOOD OPTIONS PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 21528 HILLSIDE AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1831
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Country | US
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Telephone | 718-425-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 21528 HILLSIDE AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1831
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Country | US
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Telephone | 718-425-0907
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KAREN GORDON
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Credential | PSY.D.
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Telephone | 718-425-0907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 018807
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License Number State | NY
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